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Title

Fractures of the calcaneum. A review of 70 patients

Authors
Paul, M
Published in Journal of Bone and Joint Surgery. British Volume. 2004, vol. 86, no. 8, p. 1142-5
Abstract We have assessed the long-term results after operative and non-operative treatment of undisplaced and displaced calcaneal fractures. At a mean of 6.5 years, we reviewed 70 patients with a calcaneal fracture who were divided into four groups: group 1, 18 patients with undisplaced fractures and a normal Böhler's angle (BA) who had been treated non-operatively; group 2, 23 with intra-articular fractures and a BA < 10 degrees who had been treated non-operatively; group 3, 13 with intra-articular fractures and a BA > 10 degrees who had been treated surgically; and group 4, 16 with intra-articular fractures and a BA < 10 degrees who had been treated surgically. The results were assessed by a clinical score considering pain, return to work, return to physical activity, change in shoe-wear and the requirement for subtalar arthrodesis. Patients with undisplaced calcaneal fractures had a good outcome. Those with displaced fractures treated surgically who presented at follow-up with a BA > 10 degrees had a satisfactory functional outcome and those with displaced fractures who had non-operative treatment had a poor outcome. The poorest outcome was consistently seen in patients who were treated operatively without restoration of BA. Open reduction and internal fixation of intra-articular calcaneal fractures can only be expected to benefit those patients in whom nearly anatomical reconstruction is obtained.
Keywords AdultAgedAged, 80 and overCalcaneus/injuries/radiographyFemaleFractures, Bone/radiography/therapyHumansMaleMiddle AgedTreatment Outcome
Identifiers
PMID: 15568527
Full text
Article (Published version) (142 Kb) - public document Free access
Structures
Research groups Chirurgie orthopédique et traumatologique (98)
Traumatologie ostéoarticulaire (99)
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(ISO format)
PAUL, M, PETER, Robin, HOFFMEYER, Pierre. Fractures of the calcaneum. A review of 70 patients. In: Journal of Bone and Joint Surgery. British Volume, 2004, vol. 86, n° 8, p. 1142-5. https://archive-ouverte.unige.ch/unige:41988

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Deposited on : 2014-11-19

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